| Greenfield Periodontics And Implant Dentistiry | |
|
120 W Mckenzie Rd Ste J Greenfield IN 46140-1072 | |
| (317) 477-3000 | |
| (317) 477-3002 |
| Full Name | Greenfield Periodontics And Implant Dentistiry |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 120 W Mckenzie Rd, Greenfield, Indiana |
| Authorized Official Name and Position | Julie Combs (OWNER) |
| Authorized Official Contact | 3174773000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenfield Periodontics And Implant Dentistiry 120 W Mckenzie Rd Ste J Greenfield IN 46140-1072 Ph: (317) 477-3000 | Greenfield Periodontics And Implant Dentistiry 120 W Mckenzie Rd Ste J Greenfield IN 46140-1072 Ph: (317) 477-3000 |
| NPI Number | 1053766501 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 05/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053766501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 12011410A (Indiana) | Primary |
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